Rate Certification Letters | Louisiana Department of Health
Source: http://dhh.louisiana.gov/medicaid/rate-certification-letters
Archived: 2026-04-23 17:20
Rate Certification Letters | Louisiana Department of Health
For Providers
Medicaid Providers
Rate Certification Letters
Rate Certification Letters
The Louisiana Department of Health (LDH) has contracted with Milliman, Inc. to develop actuarially sound capitation rate ranges for the Medicaid managed care program.
Rate certification letters certify universal rates for a given time period, e.g., a state fiscal year. Rates shown in these letters are not the rates
actually
paid to participating Managed Care Organizations (MCO), as the actual rates paid to each MCO are risk-adjusted. That is, the rates paid to each MCO are the universal rates in the rate letter
as adjusted for the expected costs of that MCO’s enrolled members, based on the members’ health conditions and health status.
Original rate letters are often replaced with revised rate letters for the same time period. Revisions are necessary whenever there are programmatic changes (e.g., changes in services or populations covered) that impact rates effective within the original rate letter time period. Revisions may cover the entire period or only part of the period (going forward from the effective date of a program change prior to the end the period).
Sometimes a rate letter is supplemented with an issue-specific companion certification. For example, the Affordable Care Act (ACA) Primary Care Physician (PCP) enhanced payment, which was an add-on to PMPMs paid in 2013 and 2014 as required by Section 1202 of the Affordable Care Act, had its own certification letter.
Table Notes
All published rate certifications are provided in the tables below.
The currently active rate certification is displayed in boldface text.
Any rate certification that was subsequently revised and superseded by another rate certification is noted with the date of the replacement certification in the column labeled “Actual Period Covered” and shaded in light gray.
When the “Actual Period Covered” differs from the “Original Period Certified,” the revised end date for the “Actual Period Covered” is displayed in italic text.
Healthy Louisiana 3.0 (January 2023 – present)
Risk-bearing MCO Rate Certification Letters
Certification Date
Original Period Certified
Actual Period Covered
September 10, 2025
Rate Certification and Appendices
July 2024 - June 2025
July 2024 - June 2025
Amends the November 27, 2024 certification to incorporate
physician state directed payments as a separate payment term
August 18, 2025
Rate Certification and Appendices
July 2025 - June 2026
July 2025 - present
November 27, 2024
Rate Certification and Appendices
July 2024 - June 2025
July 2024 - June 2025
June 21, 2024
Rate Certification and Appendices
July 2024 - June 2025
Replaced by November 27, 2024 Certification
February 14, 2024
Rate Certification and Appendices
January - June 2024
January - June 2024
December 6, 2023
Rate Certification and Appendices
July 2023 - June 2024
July 2023 -
December 2023
June 23, 2023
Rate Certification and Appendices
July 2023 - June 2024
Replaced by December 6, 2023 certification
December 16, 2022
January – June 2023
January 2023 – June 2023
Healthy Louisiana / Bayou Health 2.0 (February 2015 – December 2022)
Risk-bearing MCO Rate Certification Letters
Certification Date
Original Period Certified
Actual Period Covered
August 22, 2023
July 2022 – June 2023
July 2022 –
December 2022
April 25, 2022
January 2022 - December 2022
January 2022 -
June 2022
Addendum for Hospital-Based Physician FMP
December 20, 2021
January 2022 - December 2022
January 2022 -
June 2022
Addendum for Act 421 Children's Medicaid Option
December 15, 2021
January 2022 - December 2022
January 2022 –
June 2022
November 15, 2021
January 2022 - December 2022
Replaced by December 15, 2021 certification
July 21, 2021
January 2021 - December 2021
January 2021 - December 2021
January 14, 2021
January 2021 – December 2021
Replaced by July 21, 2021 certification
August 12, 2020
July 2020 – December 2020
July 2020 – December 2020
Expansion and Non-Expansion Rate Certification Addendum
December 23, 2019
January 2020 – December 2020
January 2020 - July 2020
August 5, 2019
July 2019 – December 2019
July 2019 – December 2019
EXPANSION Age 19-64
EXPANSION High Needs
August 5, 2019
July 2019 – December 2019
July 2019 – December 2019
NON-EXPANSION
EXPANSION (SBH & Kicks)
May 24, 2019
April 2019
–
December 2019
April 2019
–
June 30, 2019
EXPANSION Age 19-64
EXPANSION High Needs
May 22, 2019
April 2019
–
December 2019
April 2019 –
June 30, 2019
NON-EXPANSION
EXPANSION (SBH & Kicks)
February 6, 2019
January 2019
–
December 2019
January 2019 –
March 31, 2019
NON-EXPANSION
EXPANSION (SBH & Kicks)
January 28, 2019
January 2019
–
March 2019
January 2019 –
March 31, 2019
EXPANSION Age 19-64
EXPANSION High Needs
December 18, 2018
July 2018
–
January 2019
July 2018
–
December 2018
August 24, 2018
May 2018
–
January 2019
May 2018
–
June 2018
August 24, 2018
February 2018
–
April 2018
February 1, 2018
–
April 30, 2018
July 9, 2018
February 2018 – April 2018
Replaced by August 24, 2018 certification
July 9, 2018
October 2017 – January 2018
October 1, 2017 – January 31, 2018
July 9, 2018
February 2017 – January 2018
March 1, 2017
– September 30, 2017
June 19, 2018
May 2018 – January 2019
Replaced by August 24, 2018 certification
April 30, 2018
February 2018 – January 2019
Replaced by July 9, 2018 certification
March 5, 2018
February 2018 – January 2019
Replaced by April 30, 2018 certification
January 22, 2018
February 2018 – January 2019
Replaced by March 5, 2018 certification
January 8, 2018
October 2017 – January 2018
Replaced by July 9, 2018 certification
March 13, 2017
February 2017 – January 2018
February 1, 2017 –
February 28, 2017
February 17, 2017
December 2015
December 2015
SPECIALIZED BEHAVIORAL HEALTH
February 17, 2017
December 2015
December 2015
NEMT SERVICES
February 17, 2017
December 2015
December 2015
PHYSICAL HEALTH
February 17, 2017
July 2015 – November 2015
July 1, 2015 – November 30, 2015
February 17, 2017
February 2015 – June 2015
February 1, 2015 – June 30, 2015
September 13, 2016
December 2015 – January 2016
January 2016
SPECIALIZED BEHAVIORAL HEALTH
September 13, 2016
December 2015 – January 2016
January 2016
NEMT SERVICES
September 13, 2016
December 2015 – January 2016
January 2016
PHYSICAL HEALTH
September 12, 2016
July 2016 – January 2017
July 1, 2016 – January 31, 2017
NON-EXPANSION
September 12, 2016
February 2016 – January 2017
February 1, 2016 –
June 30, 2016
July 15, 2016
July 2016 – January 2017
July 1, 2016 – January 31, 2017
EXPANSION ONLY
February 26, 2016
February 2016 – January 2017
Replaced by September 12, 2016 certification
November 20, 2015
December 2015 – January 2016
Replaced by February 17, 2017 certification
November 4, 2015
December 2015 – January 2016
Replaced by February 17, 2017 certification
October 15, 2015
December 2015 – January 2016
Replaced by February 17, 2017 certification
October 12, 2015
July 2015 – January 2016
Replaced by February 17, 2017 certification
October 15, 2015
February 2015 – January 2016
Replaced by February 17, 2017 certification
August 11, 2015
July 2015 – January 2016
Replaced by October 12, 2015 certification
January 31, 2015
February 2015 – January 2016
Replaced by October 15, 2015 certification
August 29, 2014
February 2015 – January 2016
Replaced by January 31, 2015 certification
Family Planning Addendum
Certification Date
Original Period Certified
Actual Period Covered
April 15, 2016
February 2016 – January 2017
February 1, 2016 - present
March 23, 2015
February 2015 – January 2016
February 1, 2015 – January 31, 2016
Bayou Health 1.0 (February 2012 – January 2015)
Prepaid Rate Certification Letters
Certification Date
Original Period Certified
Actual Period Covered
November 6, 2014
September 2014 – January 2015
September 1, 2014 – January 31, 2015
November 6, 2014
July 2014 – August 2014
July 1, 2014 – August 31, 2014
November 6, 2014
April 2014 – June 2014
April 1, 2014 – June 30, 2014
September 17, 2014
September 2014 – January 2015
Not applicable
August 8, 2014
July 2014 – January 2015
Not applicable
December 19, 2013
January 2014 – June 2014
January 1, 2014 –
March 31, 2014
November 6, 2013
July 2013 – December 2013
July 1, 2013 – December 31, 2013
June 28, 2013
July 2013 - December 2013
Not applicable
January 17, 2013
January 2013 – June 2013
January 1, 2013 – June 30, 2013
January 14, 2013
January 2013 – June 2013
Not applicable
October 15, 2012
November 2012 – December 2012
November 1, 2012 – December 31, 2012
September 14, 2012
November 2012 – December 2012
Not applicable
September 14, 2012
August 2012 – December 2012
August 1, 2012 –
October 31, 2012
September 10, 2012
October 2012 – December 2012
Not applicable
August 10, 2012
August 2012 – December 2012
Not applicable
July 11, 2012
July 2012 – December 2012
July 1, 2012 –
July 31, 2012
January 25, 2012
February 2012 – December 2012
February 1, 2012 –
June 30, 2012
June 15, 2011
January 2012 – December 2012
Not applicable
April 8, 2011
January 2012 – December 2012
Not applicable
Affordable Care Act (ACA) Primary Care Physician (PCP) Add-On
Certification Date
Original Period Certified
Actual Period Covered
August 8, 2014
July 2014 – December 2014
July 1, 2014 – December 31, 2014
April 1, 2014
January 2014 – December 2014
January 1, 2014 – June 30, 2014
December 23, 2013
January 2014 – June 2014
Not applicable
November 6, 2013
July 2013 – December 2013
July 1, 2013 – December 31, 2013
November 6, 2013
January 2013 – June 2013
January 1, 2013 – June 30, 2013
Family Planning Addendum
Certification Date
Original Period Certified
Actual Period Covered
March 23, 2015
February 2015 – January 2016
February 1, 2015 – January 31, 2016
April 3, 2015
September 2014 – January 2015
September 1, 2014 – January 31, 2015
April 3, 2015
July 2014 – August 2014
July 1, 2014 – August 31, 2014
April 3, 2015
April 2014 – June 2014
April 1, 2014 – June 30, 2014
December 3, 2014
September 2014 – January 2015
Not applicable
August 8, 2014
July 2014 – January 2015
July 1, 2014 –
March 31, 2014
July 24, 2014
January 2014 – June 2014
January 1, 2014 – June 30, 2014
November 6, 2013
July 2013 – December 2013
July 1, 2013 – December 31, 2013
November 6, 2013
January 2013 – June 2013
January 1, 2013 – June 30, 2013
November 7, 2013
November 2012 – December 2012
November 1, 2012 – December 31, 2012
Shared Savings Benchmark Letters
Certification Date
Original Period Certified
Actual Period Covered
March 24, 2015
July 2014 - January 2015
July 1, 2014 - January 31, 2015
April 25, 2014
January 2014 – June 2014
January 1, 2014 – June 30, 2014
February 28, 2014
July 2013 – December 2013
July 1, 2013 – December 31, 2013
February 28, 2014
February 2013 – June 2013
February 1, 2013 – June 30, 2013
June 20, 2013
February 2013 – June 2013
Not applicable
April 30, 2013
January 2013
January 1, 2013 – January 31, 2013
August 22, 2012
August 2012 - December 2012
August 2012 - December 2012
January 31, 2012
February 2012 – December 2012
February 2012 –
July 2012
June 15, 2011
January 2012 – December 2012
Not applicable
April 8, 2011
January 2012 – December 2012
Not applicable
Surgeon General
Evelyn Griffin, MD
Secretary
Bruce D. Greenstein
Powered by
Cicero Government
For Providers
Medicaid Providers
Rate Certification Letters
Rate Certification Letters
The Louisiana Department of Health (LDH) has contracted with Milliman, Inc. to develop actuarially sound capitation rate ranges for the Medicaid managed care program.
Rate certification letters certify universal rates for a given time period, e.g., a state fiscal year. Rates shown in these letters are not the rates
actually
paid to participating Managed Care Organizations (MCO), as the actual rates paid to each MCO are risk-adjusted. That is, the rates paid to each MCO are the universal rates in the rate letter
as adjusted for the expected costs of that MCO’s enrolled members, based on the members’ health conditions and health status.
Original rate letters are often replaced with revised rate letters for the same time period. Revisions are necessary whenever there are programmatic changes (e.g., changes in services or populations covered) that impact rates effective within the original rate letter time period. Revisions may cover the entire period or only part of the period (going forward from the effective date of a program change prior to the end the period).
Sometimes a rate letter is supplemented with an issue-specific companion certification. For example, the Affordable Care Act (ACA) Primary Care Physician (PCP) enhanced payment, which was an add-on to PMPMs paid in 2013 and 2014 as required by Section 1202 of the Affordable Care Act, had its own certification letter.
Table Notes
All published rate certifications are provided in the tables below.
The currently active rate certification is displayed in boldface text.
Any rate certification that was subsequently revised and superseded by another rate certification is noted with the date of the replacement certification in the column labeled “Actual Period Covered” and shaded in light gray.
When the “Actual Period Covered” differs from the “Original Period Certified,” the revised end date for the “Actual Period Covered” is displayed in italic text.
Healthy Louisiana 3.0 (January 2023 – present)
Risk-bearing MCO Rate Certification Letters
Certification Date
Original Period Certified
Actual Period Covered
September 10, 2025
Rate Certification and Appendices
July 2024 - June 2025
July 2024 - June 2025
Amends the November 27, 2024 certification to incorporate
physician state directed payments as a separate payment term
August 18, 2025
Rate Certification and Appendices
July 2025 - June 2026
July 2025 - present
November 27, 2024
Rate Certification and Appendices
July 2024 - June 2025
July 2024 - June 2025
June 21, 2024
Rate Certification and Appendices
July 2024 - June 2025
Replaced by November 27, 2024 Certification
February 14, 2024
Rate Certification and Appendices
January - June 2024
January - June 2024
December 6, 2023
Rate Certification and Appendices
July 2023 - June 2024
July 2023 -
December 2023
June 23, 2023
Rate Certification and Appendices
July 2023 - June 2024
Replaced by December 6, 2023 certification
December 16, 2022
January – June 2023
January 2023 – June 2023
Healthy Louisiana / Bayou Health 2.0 (February 2015 – December 2022)
Risk-bearing MCO Rate Certification Letters
Certification Date
Original Period Certified
Actual Period Covered
August 22, 2023
July 2022 – June 2023
July 2022 –
December 2022
April 25, 2022
January 2022 - December 2022
January 2022 -
June 2022
Addendum for Hospital-Based Physician FMP
December 20, 2021
January 2022 - December 2022
January 2022 -
June 2022
Addendum for Act 421 Children's Medicaid Option
December 15, 2021
January 2022 - December 2022
January 2022 –
June 2022
November 15, 2021
January 2022 - December 2022
Replaced by December 15, 2021 certification
July 21, 2021
January 2021 - December 2021
January 2021 - December 2021
January 14, 2021
January 2021 – December 2021
Replaced by July 21, 2021 certification
August 12, 2020
July 2020 – December 2020
July 2020 – December 2020
Expansion and Non-Expansion Rate Certification Addendum
December 23, 2019
January 2020 – December 2020
January 2020 - July 2020
August 5, 2019
July 2019 – December 2019
July 2019 – December 2019
EXPANSION Age 19-64
EXPANSION High Needs
August 5, 2019
July 2019 – December 2019
July 2019 – December 2019
NON-EXPANSION
EXPANSION (SBH & Kicks)
May 24, 2019
April 2019
–
December 2019
April 2019
–
June 30, 2019
EXPANSION Age 19-64
EXPANSION High Needs
May 22, 2019
April 2019
–
December 2019
April 2019 –
June 30, 2019
NON-EXPANSION
EXPANSION (SBH & Kicks)
February 6, 2019
January 2019
–
December 2019
January 2019 –
March 31, 2019
NON-EXPANSION
EXPANSION (SBH & Kicks)
January 28, 2019
January 2019
–
March 2019
January 2019 –
March 31, 2019
EXPANSION Age 19-64
EXPANSION High Needs
December 18, 2018
July 2018
–
January 2019
July 2018
–
December 2018
August 24, 2018
May 2018
–
January 2019
May 2018
–
June 2018
August 24, 2018
February 2018
–
April 2018
February 1, 2018
–
April 30, 2018
July 9, 2018
February 2018 – April 2018
Replaced by August 24, 2018 certification
July 9, 2018
October 2017 – January 2018
October 1, 2017 – January 31, 2018
July 9, 2018
February 2017 – January 2018
March 1, 2017
– September 30, 2017
June 19, 2018
May 2018 – January 2019
Replaced by August 24, 2018 certification
April 30, 2018
February 2018 – January 2019
Replaced by July 9, 2018 certification
March 5, 2018
February 2018 – January 2019
Replaced by April 30, 2018 certification
January 22, 2018
February 2018 – January 2019
Replaced by March 5, 2018 certification
January 8, 2018
October 2017 – January 2018
Replaced by July 9, 2018 certification
March 13, 2017
February 2017 – January 2018
February 1, 2017 –
February 28, 2017
February 17, 2017
December 2015
December 2015
SPECIALIZED BEHAVIORAL HEALTH
February 17, 2017
December 2015
December 2015
NEMT SERVICES
February 17, 2017
December 2015
December 2015
PHYSICAL HEALTH
February 17, 2017
July 2015 – November 2015
July 1, 2015 – November 30, 2015
February 17, 2017
February 2015 – June 2015
February 1, 2015 – June 30, 2015
September 13, 2016
December 2015 – January 2016
January 2016
SPECIALIZED BEHAVIORAL HEALTH
September 13, 2016
December 2015 – January 2016
January 2016
NEMT SERVICES
September 13, 2016
December 2015 – January 2016
January 2016
PHYSICAL HEALTH
September 12, 2016
July 2016 – January 2017
July 1, 2016 – January 31, 2017
NON-EXPANSION
September 12, 2016
February 2016 – January 2017
February 1, 2016 –
June 30, 2016
July 15, 2016
July 2016 – January 2017
July 1, 2016 – January 31, 2017
EXPANSION ONLY
February 26, 2016
February 2016 – January 2017
Replaced by September 12, 2016 certification
November 20, 2015
December 2015 – January 2016
Replaced by February 17, 2017 certification
November 4, 2015
December 2015 – January 2016
Replaced by February 17, 2017 certification
October 15, 2015
December 2015 – January 2016
Replaced by February 17, 2017 certification
October 12, 2015
July 2015 – January 2016
Replaced by February 17, 2017 certification
October 15, 2015
February 2015 – January 2016
Replaced by February 17, 2017 certification
August 11, 2015
July 2015 – January 2016
Replaced by October 12, 2015 certification
January 31, 2015
February 2015 – January 2016
Replaced by October 15, 2015 certification
August 29, 2014
February 2015 – January 2016
Replaced by January 31, 2015 certification
Family Planning Addendum
Certification Date
Original Period Certified
Actual Period Covered
April 15, 2016
February 2016 – January 2017
February 1, 2016 - present
March 23, 2015
February 2015 – January 2016
February 1, 2015 – January 31, 2016
Bayou Health 1.0 (February 2012 – January 2015)
Prepaid Rate Certification Letters
Certification Date
Original Period Certified
Actual Period Covered
November 6, 2014
September 2014 – January 2015
September 1, 2014 – January 31, 2015
November 6, 2014
July 2014 – August 2014
July 1, 2014 – August 31, 2014
November 6, 2014
April 2014 – June 2014
April 1, 2014 – June 30, 2014
September 17, 2014
September 2014 – January 2015
Not applicable
August 8, 2014
July 2014 – January 2015
Not applicable
December 19, 2013
January 2014 – June 2014
January 1, 2014 –
March 31, 2014
November 6, 2013
July 2013 – December 2013
July 1, 2013 – December 31, 2013
June 28, 2013
July 2013 - December 2013
Not applicable
January 17, 2013
January 2013 – June 2013
January 1, 2013 – June 30, 2013
January 14, 2013
January 2013 – June 2013
Not applicable
October 15, 2012
November 2012 – December 2012
November 1, 2012 – December 31, 2012
September 14, 2012
November 2012 – December 2012
Not applicable
September 14, 2012
August 2012 – December 2012
August 1, 2012 –
October 31, 2012
September 10, 2012
October 2012 – December 2012
Not applicable
August 10, 2012
August 2012 – December 2012
Not applicable
July 11, 2012
July 2012 – December 2012
July 1, 2012 –
July 31, 2012
January 25, 2012
February 2012 – December 2012
February 1, 2012 –
June 30, 2012
June 15, 2011
January 2012 – December 2012
Not applicable
April 8, 2011
January 2012 – December 2012
Not applicable
Affordable Care Act (ACA) Primary Care Physician (PCP) Add-On
Certification Date
Original Period Certified
Actual Period Covered
August 8, 2014
July 2014 – December 2014
July 1, 2014 – December 31, 2014
April 1, 2014
January 2014 – December 2014
January 1, 2014 – June 30, 2014
December 23, 2013
January 2014 – June 2014
Not applicable
November 6, 2013
July 2013 – December 2013
July 1, 2013 – December 31, 2013
November 6, 2013
January 2013 – June 2013
January 1, 2013 – June 30, 2013
Family Planning Addendum
Certification Date
Original Period Certified
Actual Period Covered
March 23, 2015
February 2015 – January 2016
February 1, 2015 – January 31, 2016
April 3, 2015
September 2014 – January 2015
September 1, 2014 – January 31, 2015
April 3, 2015
July 2014 – August 2014
July 1, 2014 – August 31, 2014
April 3, 2015
April 2014 – June 2014
April 1, 2014 – June 30, 2014
December 3, 2014
September 2014 – January 2015
Not applicable
August 8, 2014
July 2014 – January 2015
July 1, 2014 –
March 31, 2014
July 24, 2014
January 2014 – June 2014
January 1, 2014 – June 30, 2014
November 6, 2013
July 2013 – December 2013
July 1, 2013 – December 31, 2013
November 6, 2013
January 2013 – June 2013
January 1, 2013 – June 30, 2013
November 7, 2013
November 2012 – December 2012
November 1, 2012 – December 31, 2012
Shared Savings Benchmark Letters
Certification Date
Original Period Certified
Actual Period Covered
March 24, 2015
July 2014 - January 2015
July 1, 2014 - January 31, 2015
April 25, 2014
January 2014 – June 2014
January 1, 2014 – June 30, 2014
February 28, 2014
July 2013 – December 2013
July 1, 2013 – December 31, 2013
February 28, 2014
February 2013 – June 2013
February 1, 2013 – June 30, 2013
June 20, 2013
February 2013 – June 2013
Not applicable
April 30, 2013
January 2013
January 1, 2013 – January 31, 2013
August 22, 2012
August 2012 - December 2012
August 2012 - December 2012
January 31, 2012
February 2012 – December 2012
February 2012 –
July 2012
June 15, 2011
January 2012 – December 2012
Not applicable
April 8, 2011
January 2012 – December 2012
Not applicable
Surgeon General
Evelyn Griffin, MD
Secretary
Bruce D. Greenstein
Powered by
Cicero Government